JUSTIN JACOB – NPI #1174468078
Perfusionist

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

JUSTIN JACOB is a perfusionist located in PLYMOUTH, MI. NPPES recently assigned the NPI number 1174468078 to JUSTIN JACOB on April 20, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 242T00000X from the Health Care Provider Taxonomy code set, which is classified as Perfusionist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN JACOB below.

NPI Profile for
JUSTIN JACOB

NPI Number
1174468078
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN JACOB
Primary location
45211 HELM ST
PLYMOUTH, MI 48170-6023
Phone: (734) 525-9712 Fax: (734) 525-9712
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
242T00000X
- Perfusionist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.